Herb & supplement monograph

Bog Labrador Tea Drug Interactions, Uses, Safety & More

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Bog Labrador Tea Drug Interactions: The Bottom Line

From the HelloPharmacist Editorial Team · Updated July 2026

Based on the available evidence, the overall risk of a clinically significant Bog Labrador Tea drug interaction appears low for most people, since every listed concern rests on lab research rather than proof in humans. All of the interactions are rated moderate, but each one traces back to a single laboratory finding that has not been confirmed in people.

Interactions deserving the most attention

The one concern in the data involves medications cleared by the CYP3A4 enzyme, a pathway the body uses to break down many common drugs. Lab studies found that Bog Labrador tea leaf extracts can boost this enzyme, which in theory could speed up how the body clears these medicines and weaken their effect. Cholesterol drugs such as lovastatin are one example of medicines processed this way.

What the rest of the list means

The long list of affected medications reflects a single shared pathway, not hundreds of separate proven problems. Because this enzyme handles so many drugs, one lab finding sweeps in a very large number of medicines. No human studies have shown that Bog Labrador tea actually changes drug levels in people, and extracts from different regions varied in strength, which adds to the uncertainty.

Check your medications against Bog Labrador Tea

Based on HelloPharmacist’s Bog Labrador Tea interaction data and reviewed under our editorial standards.

Interaction report

Drugs that interact with Bog Labrador Tea

645 medications have a known interaction with Bog Labrador Tea, graded by severity. Select any drug for the full evidence-based detail.

2,830 drugs
Ado-trastuzumab EmtansineKadcyla› AbemaciclibVerzenio› Abiraterone› Abiraterone AcetateYonsa, Zytiga› AcalabrutinibCalquence› Acetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine› Acetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more› Acetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine› Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound› Acetaminophen, Caffeine, CodeineGesic C15, Gesic C30, Gesic C8, Lenoltec 1, Lenoltec 2, Lenoltec 3 +1 more› Acetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3› Acetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS› Acetaminophen, Caffeine, IsomethepteneMigralam› Acetaminophen, Caffeine, PyrilamineMidol Max Strength Menstrual› Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HbrVicks Formula 44M Cough, Cold & Flu Relief› Acetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex› Acetaminophen, Chlorpheniramine, DextromethorphanCoricidin II Extra Strength Cold and Flu› Acetaminophen, Chlorpheniramine, Dextromethorphan HydrobromideCoricidin HBP Maximum Strength Flu› Acetaminophen, Chlorpheniramine, Dextromethorphan, PhenylpropanolamineMulti Symptom Cold Relief› Acetaminophen, Chlorpheniramine, Dextromethorphan, PseudoephedrineChildren's Tylenol Cold Plus Cough, Tylenol Cold Ex Strength› Acetaminophen, Chlorpheniramine, Guaifenesin, Phenylephrine, SalicylamideRhinogesic GG› Acetaminophen, Chlorpheniramine, PhenylephrineAlka-Seltzer PLUS, Histex SR, Protid› Acetaminophen, Chlorpheniramine, Phenylephrine, SalicylamideRhinogesic, Rhinogesic JR› Acetaminophen, Chlorpheniramine, PhenylpropanolamineAlumadrine, Conex, Sinadrin Max Strength, Sinulin› Acetaminophen, Chlorpheniramine, Phenylpropanolamine, OpiumHista-Derfule› Acetaminophen, Chlorpheniramine, Phenylpropanolamine, PhenyltoloxamineNorel Plus› Acetaminophen, Chlorpheniramine, PseudoephedrineAlka-Seltzer PLUS Liquid Gels, Children's Tylenol Cold, Codimal, Comtrex, Extra Strength Tylenol Allergy Sinus, Lorsin +3 more› Acetaminophen, DextromethorphanTylenol Cough Ex Strength› Acetaminophen, Dextromethorphan, Doxylamine, PseudoephedrineVicks NyQuil› Acetaminophen, Dextromethorphan, Guaifenesin, PhenylephrineConar-A›
Read The List Like a Pharmacist

What Severity, Likelihood & Evidence Mean

Severity — How Serious It Can Be

  • Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
  • Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
  • Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
  • No known interaction. Checked against our sources with nothing documented — not the same as proven safety.

Likelihood — How Well It’s Documented

  • Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
  • Probable. Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • Possible. Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists
  • Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.

Where This Data Comes From

  • Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
  • Each drug listed above links to the full report for that exact Bog Labrador Tea combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The big picture

The kinds of drugs Bog Labrador Tea affects

Every type of medication (drug category) Bog Labrador Tea is known to interact with. Open any category for the detail — or search your exact drug in the checker above.

All 1 drug category Bog Labrador Tea interacts with
Cytochrome P450 3a4 (cyp3a4) Substrates
Cytochrome P450 3A4 (Cyp3A4) Substrates

In vitro research shows that aqueous and ethanolic extracts of Bog Labrador tea leaves can increase the concentration of cytochrome P450 3A4 (CYP3A4) enzymes. Extracts obtained from different geographical regions in Quebec resulted in differing potency of CYP3A4 induction. Bog Labrador tea might increase the metabolism of CYP3A4 substrates.
Drugs metabolized by CYP3A4 include lovastatin (Mevacor), clarithromycin (Biaxin), cyclosporine (Neoral, Sandimmune), diltiazem (Cardizem), estrogens, indinavir (Crixivan), amiodarone (Cordarone), ticagrelor (Brilinta), triazolam (Halcion), and others.

Likelihood Possible Evidence D
Monograph

Bog Labrador Tea: Uses, Safety & Side Effects

The bottom line

Bog Labrador tea is a wetland shrub whose leaves have long been brewed as a traditional beverage and folk remedy, especially among Indigenous peoples of North America. There is very little human research to confirm any health benefit, and the plant is closely related to species that contain toxic compounds, so it should be used cautiously and in moderation. Pregnant or breastfeeding people should avoid it, and anyone considering it should talk with a pharmacist or doctor first.

Bog Labrador Tea
Scientific name
Rhododendron groenlandicum
Family
Ericaceae
Part used
Leaves (used for tea); essential oil from leaves
Common forms
Dried leaf tea, infusions, tinctures, essential oil
People commonly use it for
  • Coughs and respiratory complaints
  • Digestive upset and diarrhea
  • Anxiety and stress
  • As a warm beverage
  • Aches and pains (traditional use)

Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.

Safety at a glance
OverallUse caution

Generally used as a mild tea, but it can contain potentially toxic compounds, so use small amounts and avoid strong or prolonged brews.

PregnancyUnsafe

When used orally; bog Labrador tea might induce abortion.

Read the full pregnancy detail
BreastfeedingInsufficient reliable information

Insufficient reliable information available; avoid using.

Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Jump to a section

Overview

Bog Labrador tea (Rhododendron groenlandicum, formerly called Ledum groenlandicum) is a low evergreen shrub in the heath family (Ericaceae). It grows in cold, wet places like bogs, muskeg, and tundra across northern North America. The plant has leathery, dark green leaves with a rusty, fuzzy underside, and it produces clusters of small white flowers.

For generations, Indigenous peoples and early settlers brewed the dried leaves into a fragrant tea, which is the origin of names like Hudson's Bay tea, Muskeg tea, and Settler's tea. People drank it as a warm beverage and used it in folk medicine for coughs, colds, stomach trouble, and minor aches.

Today it is sold mostly as a loose-leaf herbal tea and sometimes as a tincture or essential oil. It remains far more a traditional and cultural drink than a well-studied supplement.

Uses & effectiveness

Most uses of Bog Labrador tea come from traditional practice rather than solid clinical research. People have used it for coughs and chest congestion, sore throats, digestive complaints like diarrhea and indigestion, and as a calming drink for stress.

The scientific evidence behind these uses is very limited. Some laboratory and animal studies suggest the plant's extracts have antioxidant and antimicrobial activity, and a few have looked at effects on blood sugar in cell or animal models. However, these early findings do not prove that drinking the tea treats any disease in people.

In short, there is currently not enough good human evidence to say Bog Labrador tea works for any specific medical condition. It can still be enjoyed as a traditional beverage in moderation, but it should not replace proven treatments.

How it works

The leaves contain aromatic essential oils, flavonoids, and other plant compounds (polyphenols) that may have antioxidant effects in laboratory tests. These compounds are thought to be behind the tea's strong, resinous smell and its proposed antimicrobial actions.

One ingredient of concern is ledol (and related terpenes), a compound found in some Labrador tea species that can be toxic in larger amounts and may cause drowsiness, cramps, or other unpleasant effects. The amount varies by species, plant part, and how strongly the tea is brewed.

It is important to understand that most proposed mechanisms come from test-tube or animal research. We do not have good data showing how these compounds behave in the human body at the amounts found in a typical cup of tea.

Safety & precautions

When made into a light, traditional tea and consumed in small amounts, Bog Labrador tea has been used for a long time. However, because the plant is in the rhododendron family and can contain potentially toxic terpenes, it is best to use small amounts, steep it gently, and not drink large quantities or very strong brews.

Be careful not to confuse it with other rhododendron or azalea species, some of which contain grayanotoxins that can be dangerous. Correct plant identification matters.

Pregnancy and breastfeeding: Avoid Bog Labrador tea if you are pregnant or breastfeeding. There is not enough safety information, and some compounds in the plant have been linked to uterine or toxic effects. People with liver or kidney problems and those taking medications should also check with a pharmacist or doctor before using it.

Side effects

In small amounts, the tea is usually well tolerated. Drinking strong, concentrated, or large amounts may cause drowsiness, headache, nausea, stomach cramps, or dizziness, which are thought to be linked to the plant's terpene content.

Allergic reactions are possible, especially in people sensitive to plants in the heath family. Stop using it and seek medical care if you notice rash, swelling, trouble breathing, or other serious symptoms.

Bog Labrador Tea: Reported Adverse Effects

Documented safety reports on Bog Labrador Tea from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.

Orally, bog Labrador tea seems to be generally well tolerated when consumed in small amounts. However, frequent consumption of bog Labrador tea in large quantities can cause vomiting, gastroenteritis, diarrhea, diuresis, and central nervous system depression including symptoms of dizziness, drowsiness, and exhaustion. Conversely, bog Labrador tea containing large quantities of the constituent ledol can cause central nervous system excitation, spasms, paralysis, and death in a dose-dependent manner. However, the content of ledol in bog Labrador tea is much lower than marsh Labrador tea and is often undetectable.

  1. The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
  2. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  3. Dampc A, Luczkiewicz M. Bog Labrador tea--the aromatic beverage and spice: a review of origin, processing and safety. J Sci Food Agric. 2015;95(8):1577-83.
Reports by condition
Depression Neurologic/CNS

Orally, frequent consumption of bog Labrador tea in large quantities can cause mild central nervous system depression, including symptoms of dizziness, drowsiness and exhaustion. Conversely, bog Labrador tea containing large quantities of the constituent ledol can cause central nervous system excitation in a dose-dependent manner. For example, small amounts of ledol can lead to mild stimulating effects similar to caffeine, while larger doses can cause spasms, seizures, paralysis, and even death. However, the content of ledol in bog Labrador tea is much lower than marsh Labrador tea, and is often undetectable.

  1. The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
  2. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  3. Dampc A, Luczkiewicz M. Bog Labrador tea--the aromatic beverage and spice: a review of origin, processing and safety. J Sci Food Agric. 2015;95(8):1577-83.
Diarrhea Gastrointestinal

Orally, bog Labrador tea can cause gastrointestinal irritation resulting in vomiting, gastroenteritis, and diarrhea.

  1. The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
  2. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  3. Dampc A, Luczkiewicz M. Bog Labrador tea--the aromatic beverage and spice: a review of origin, processing and safety. J Sci Food Agric. 2015;95(8):1577-83.
DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

Adverse-effects data: Natural Medicines, Therapeutic Research Center

Dosing

There is no established or standardized dose for Bog Labrador tea. Traditionally, a small amount of dried leaves is steeped in hot water to make a light beverage, and overly strong or long-steeped brews are avoided because of possible toxic compounds.

If you choose to use a commercial product, follow the directions on the label and do not exceed them. Because potency and safety can vary, it is wise to start with a small amount and to check with a pharmacist or doctor before regular use, especially if you have health conditions or take other medicines.

Pregnancy & Breastfeeding

Bog Labrador Tea & Pregnancy

Unsafe

When used orally; bog Labrador tea might induce abortion.

  1. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.

Bog Labrador Tea & Breastfeeding

Insufficient reliable information

Insufficient reliable information available; avoid using.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

© 2026 Therapeutic Research Center

Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center

References & further reading

The 4 references that drive our Bog Labrador Tea monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
  2. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  3. Dampc A, Luczkiewicz M. Bog Labrador tea--the aromatic beverage and spice: a review of origin, processing and safety. J Sci Food Agric. 2015;95(8):1577-83. PubMed
  4. Tam TW, Liu R, Saleem A, et al. The effect of Cree traditional medicinal teas on the activity of human cytochrome P450-mediated metabolism. J Ethnopharmacol. 2014;155(1):841-6. PubMed
Keep reading

This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Pharmacist Counseling Corner

Bog Labrador Tea: Common Questions

Does Bog Labrador Tea interact with prescription medications?
Yes. We list 645 medications with a known interaction with Bog Labrador Tea. Use the checker above to see how Bog Labrador Tea interacts with a specific drug.
How are Bog Labrador Tea interactions rated?
Each interaction is graded major, moderate, or minor based on how clinically significant it is and the strength of the evidence behind it. Major interactions are the most serious and are best avoided, or used only under close professional supervision.
Is it safe to take Bog Labrador Tea with my medications?
It depends on the specific medication. Some combinations are fine, while others call for monitoring, timing changes, or should be avoided. Check your exact drug above and confirm with your pharmacist or doctor before starting, stopping, or changing anything.
Where does this Bog Labrador Tea interaction information come from?
Our interaction data is built on the Natural Medicines database — an evidence-graded reference for vitamins, herbs, and supplements — and is reviewed by licensed HelloPharmacist pharmacists, who may add clinical context.
What is Bog Labrador Tea used for?
It is mainly a traditional beverage that people have also used as a folk remedy for coughs, colds, digestive upset, and stress. Strong scientific evidence for these uses is lacking.
Is Bog Labrador Tea safe to drink?
In small amounts as a light tea it has a long history of use, but it can contain potentially toxic compounds, so it should not be brewed very strong or consumed in large quantities. People with health conditions should ask a pharmacist or doctor first.
Can I drink it while pregnant or breastfeeding?
No. There is not enough safety data, and some of the plant's compounds may be harmful, so it is best to avoid it during pregnancy and breastfeeding.
Is Labrador tea the same as regular tea?
No. It is made from the leaves of a wetland shrub, not from the tea plant (Camellia sinensis), and it does not contain caffeine. Its safety profile and chemistry are quite different.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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